BEFORE THE DEPARTMENT OF PUBLIC

HEALTH AND HUMAN SERVICES OF THE

STATE OF MONTANA

 

In the matter of the amendment of ARM 37.86.3401, 37.86.3402, 37.86.3405, 37.86.3410, 37.86.3415, 37.86.3901, 37.86.3902, 37.86.3905, 37.86.3906, and 37.86.3910 and the repeal of ARM 37.86.3411, 37.86.3801, 37.86.3805, 37.86.3806, 37.86.3810, and 37.86.3811 pertaining to targeted case management

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NOTICE OF AMENDMENT AND REPEAL

 

           TO: All Concerned Persons

 

1. On July 21, 2017, the Department of Public Health and Human Services published MAR Notice No. 37-768 pertaining to the public hearing on the proposed amendment and repeal of the above-stated rules at page 1103 of the 2017 Montana Administrative Register, Issue Number 14.

 

2. The department has amended the following rules as proposed: ARM 37.86.3401, 37.86.3402, 37.86.3405, 37.86.3415, 37.86.3901, 37.86.3902, 37.86.3905, and 37.86.3910.

 

3. The department has repealed the following rules as proposed: ARM 37.86.3411, 37.86.3801, 37.86.3805, 37.86.3806, 37.86.3810, and 37.86.3811.

 

4. The department has amended the following rules as proposed, but with the following changes from the original proposal, new matter underlined, deleted matter interlined:

 

 37.86.3410 TARGETED CASE MANAGEMENT SERVICES FOR HIGH RISK PREGNANT WOMEN, PROVIDER REQUIREMENTS  (1) through (4) remain as proposed.

            (5) A targeted case management provider must:

            (a) through (g) remain as proposed.

            (h) assure that ongoing communication and coordination of member care occurs within the targeted case management team and with the member's medical prenatal care provider at least quarterly or at the time of any medical referrals;

            (i) through (8) remain as proposed.

 

AUTH: 53-6-113, MCA

IMP: 53-6-101, MCA

 

 37.86.3906 TARGETED CASE MANAGEMENT SERVICES FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, PROVIDER REQUIREMENTS (1) through (4) remain as proposed.

            (5) A targeted case management provider must:

            (a) through (g) remain as proposed.

            (h) assure ongoing communication and coordination of the child's care occurs within the targeted case management team and among the child's care providers the child's primary care provider at least quarterly or at the time of any medical referral;

            (i) through (8) remain as proposed.

 

AUTH: 53-6-113, MCA

IMP: 53-6-101, MCA

 

5. The department has thoroughly considered the comments and testimony received. A summary of the comments received and the department's responses are as follows:

 

Comment #1: One comment was received requesting that the language in ARM 37.86.3410(5)(h) regarding communication with the member's prenatal care provider have additional language added stating that communication should occur at least quarterly or at time intervals agreed upon by the provider.

 

Response #1:  The department agrees with the comment and has updated the rule language.

 

Comment #2:  One comment was received requesting that the language in ARM 37.86.3906(5)(h) regarding communication with the primary care provider be updated to state that communication should occur at least quarterly or at the time of referrals.

 

Response #2:  The department agrees with the comment and has updated the language.

 

Comment #3:  One comment expressed support for the department's efforts to update the definitions of targeted case management.

 

Response #3:  The department thanks the commenter for their support of the rule amendments.

 

 

/s/ Brenda K. Elias                                       /s/ Marie Matthews for                                

Brenda K. Elias, Attorney                            Sheila Hogan, Director

Rule Reviewer                                             Public Health and Human Services

 

 

Certified to the Secretary of State October 2, 2017.